§ 27-8-5.9-6 — Use of preferred provider plan

Indiana § 27-8-5.9-6

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 8: LIFE, ACCIDENT, AND HEALTH
• Ch. 5.9: Short Term Insurance Plan

Text

(a) This section applies to an insurer that
issues a short term insurance plan and undertakes a preferred provider
plan under IC 27-8-11 to render health care services to covered
individuals under the short term insurance plan.
(b) An insurer described in subsection (a) shall ensure that the
preferred provider plan meets the following requirements:
(1) The preferred provider plan includes essential community
providers in accordance with PPACA.
(2) The preferred provider plan is sufficient in number and types
of providers (other than mental health and substance abuse
treatment providers) to assure covered individuals' access to all
health care services without unreasonable delay.
(3) The preferred provider plan is consistent with the network
adequacy requirements that:
(A) apply to qualified health plan issuers under 45 CFR
156.230(a) and 45 CFR 156.230(b); and
(B) are consistent with subdivisions (1) and (2).

Legislative History

As added by P.L.288-2019, SEC.7.